Organization Active NPI

Bruce a. Harris, D.D.S.

  • Dental Clinic/Center
  • Osceola, IA
National Provider Identifier
1568629947
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
06275 Issued in IA
Legal business name
BRUCE A. HARRIS, D.D.S.
Practice address
148 W Jefferson St
Osceola, IA 50213-1286
Phone
(641) 342-6541
Fax
(641) 342-6542
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce Alan Harris, D.D.S.NPI 1740342005
Title
Owner/Dentist
Phone
(641) 342-6541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 06275 IA Primary

Addresses

Primary practice location

148 W Jefferson St
Osceola, IA 50213-1286

Mailing address

148 W Jefferson St
Osceola, IA 50213-1286
Phone (641) 342-6541

Other identifiers 1

IdentifierTypeStateIssuer
0149104MedicaidIA

National Provider Directory

National Provider Directory

Locations

148 W Jefferson St
Osceola, IA 50213
Phone (641) 342-6541

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1568629947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W JEFFERSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131286",
            "telephone_number": "641-342-6541",
            "fax_number": "641-342-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W JEFFERSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131286",
            "telephone_number": "641-342-6541",
            "fax_number": "641-342-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. HARRIS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "641-342-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "06275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149104",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.